Eisenhower Health
Denials Analyst-Denials Analytics
Eisenhower Health, Rancho Mirage, California, United States, 92271
Join to apply for the
Denials Analyst-Denials Analytics
role at
Eisenhower Health . 1 week ago Be among the first 25 applicants. This range is provided by Eisenhower Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range
$21.75/hr - $32.86/hr Job Objective:
Researches and resolves claim denials, ADR requests and certs; submits and tracks appeals, notes trends, and provides monthly reports. Responds to audit requests (including RAC) from payors and maintains a library of payer reference materials regarding requirements for pre-authorization, medical necessity, and documentation. Collaborates with Revenue Cycle stakeholders (e.g., Admitting, Coding, Provider Liaisons) to improve processes related to denials. Education:
Required: High school diploma, GED, or higher degree. Licensure/Certification:
Preferred: Certified coder or currently enrolled in a coding program. Experience:
Required: Three (3) years of hospital/professional billing experience with focus on denied claims follow-up, appeals, managed care, and Medicare/Medi-Cal reimbursement methodologies. Preferred: Patient accounting experience in a high-volume claims environment. Benefits:
Generous benefits package and matched retirement plan. Health and wellness programs. Flexible PTO. *Tuition Reimbursement. *Relocation Assistance. Additional Details:
Employment type: Full-time. Job function: Health Care Provider. Industries: Hospitals and Health Care. This job posting is active and available.
#J-18808-Ljbffr
Denials Analyst-Denials Analytics
role at
Eisenhower Health . 1 week ago Be among the first 25 applicants. This range is provided by Eisenhower Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range
$21.75/hr - $32.86/hr Job Objective:
Researches and resolves claim denials, ADR requests and certs; submits and tracks appeals, notes trends, and provides monthly reports. Responds to audit requests (including RAC) from payors and maintains a library of payer reference materials regarding requirements for pre-authorization, medical necessity, and documentation. Collaborates with Revenue Cycle stakeholders (e.g., Admitting, Coding, Provider Liaisons) to improve processes related to denials. Education:
Required: High school diploma, GED, or higher degree. Licensure/Certification:
Preferred: Certified coder or currently enrolled in a coding program. Experience:
Required: Three (3) years of hospital/professional billing experience with focus on denied claims follow-up, appeals, managed care, and Medicare/Medi-Cal reimbursement methodologies. Preferred: Patient accounting experience in a high-volume claims environment. Benefits:
Generous benefits package and matched retirement plan. Health and wellness programs. Flexible PTO. *Tuition Reimbursement. *Relocation Assistance. Additional Details:
Employment type: Full-time. Job function: Health Care Provider. Industries: Hospitals and Health Care. This job posting is active and available.
#J-18808-Ljbffr